HomeMy WebLinkAboutBldg Permit 05-0959
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9. z.. if oS
I. White File
2. Pink City
3 YeHow Applicant
PERMIT NO. Os: 0'151
(Please type or print and sign at bottom)
ADDRESS 4-3 A.Ll
~, TU p/!,lat!-WOOtJ ~ I (C,6b/-
ZONING (office use)
R.2-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION 6,;:/6t& ~51c- VI~tA-S
PID 2.5. 327. 03(,.0
~=R rIU60,4/ /J/A-N'~ 8,t:l/Cv-r~&". (Phone) ~5:l-tfl::).- DO~
(AddreSs)43ifY PfUiJ~ (,11;0 $T ?fUtF;' ~ ~ Q50l-4k!O-tP;}M)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding }lr-ower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
(. I hereby certifY that I have hlrnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the
above-m IOned property and th 11 constnlctlon Will conform to all eXISting state and local laws and will proceed In accordance with submllled plans I am aware at the 7dlng
:. can e ke this permit cause FurtJer:o;e, ~erebY agr~he City official or a deSignee may enter upon the property to perform needed inspections YOS-
^"""Y-- Contractor's License No. 'I'
Permit Valuation 3. 000.00 I Park Support Fee # $
Permit Fee $ 14'. "IS I SAC # $
Plan Check Fee $ I Water Meter SizeS/8"; I"; $
I State Surcharge $ 1.50 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ 4-0. 00 I Water Tower Fee # $
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other & t..&e.t?.l eA L $ 1_ 00
I Gas Fireplace Permit Fee $ TOTAL DUE $ //7.ZS-
/t
This Application Becomes Your Building Pennit When Approved Paid //7. 2.5 . ~PtNO. "'~1.:s
Date '1. ~9. OS
(/
Building Otlicial Date
ThiS IS to certity that the requcst in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Celtificate of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CII f OF PRIOR LAKE PLUMBING PERl\tUI
Date Rec'd
-""
/0.31.10
(Please type or print and sian at bottom)
ADDRESS
~3+JY P/U ~k!-NtJ()O .fT.
LEGAL DESCRu- uON (office use only)
LOT BLOCK
ADDITION
OWNER
(Name)
~~t4I /HuelJ/7 p~
'/
(Address)
:MPlJ~ /'" I L M/J I /)/ ~ A. //~
(Naffte) , ?I1U 'r' I r~] rlJwDIf -/ ~
, /
(Adclress) -!L/) d/J ~
(Address) I
(Contact Person) . f)~~ -
ARLlCANTSIO:WRB {/hl 4_~
i ~~ ~~ PERMIT NO. AS: 45 d
3. Vellow Applic:onl C/' /- Y
,
ZONING (office use)
PID Zr: .:?Z7. OJt.. () .
(Phone)
----
(PhOne) 9'~ .~.l- ~
1w/bvJ AlAi, jI/I ~5J$.2.
I (City) ~tfJ,)..-33~ (Zip Code)
(phone) q/,} "~S-;J -q1fj4-i>
DATE /p/9/J6
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 comparbnent sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Omce Use Only)
This Application Becomes Your Building Permit When Approved
Building Omc:ial
Date
$
$
$
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
pO. (J~
OvJtJ
~
Rec~.
By 1_
// .
U
Building Pennit #
~
./"" .50
./'
/
---
pai~
Datl () . J I ,() r
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
INSPECTION 'RECORD
.sT1t6f:r
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ATE ISSUED .,.~ 4.0'.1
CONTRACTOR }II (J;~ PHONE . ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~
~
~
.~
. .
// ~()/IJS
/ / /io/'~.../
/1/7/e1S' _
~/ltJ/~~
';;;?J/~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/ /
/~I /~l//o5
/ Zr1Jj6<f
/LIIZ,/~
/~/ /~;p,(
OCCUpy UNTil ABOVE HAS BEEN SIGNED
NOTICE
pt//'V
A
/;'~
~.
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~tjr
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o J!UWLA TION
L~I~L.
o SITE INSPECTION
CO_~~NTS:/, .
/;7-r:;~/?t ~ (
,~ /
/P;:-Ct::/~t-
,,~
DATE nilE
SCHEDULED,I~~~
A~1J'-~()O' G;/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ ~BING FINAL
)3"'MECH FINAL
1
~ /
~~I
.~ /
/-/ /.-~ /
~
-/~.~ /'
.-
. /
OK
~- 9s-?
o EXIGRADJFllLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/ -7
/ p//d /'bJ--
. .
./
eYre
-
~
r-f)~
/..-; /e.. .J
~
~
( /7/
,,~t~
~RK SATIS~K~CLI;
o CORRECT ACTION AND PROCEED
=CT7UijRE':==ORECOVEmNG
'-""""
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn